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NPI Code Detail

MEDICARE: TALOSIG & TALOSIG M D P A

MEDICARE: TALOSIG & TALOSIG M D P A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterF6129TX

General Provider Information

NPI Number : 1588672612
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALOSIG & TALOSIG M D P A
Provider Business Mailing Address
First Line : 402 SOUTH WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535
Country : US
Telephone Number : 936-258-2624
Fax Number : 936-258-2488
Provider Business Practice Location Address
First Line : 402 S WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2942
Country : US
Telephone Number : 936-258-2624
Fax Number : 936-258-2488
Authorized Official
Title or Position : PEDIATRICS
Name : DR. SOCORRO AGGABAO TALOSIG
Credential : M.D.
Telephone Number : 936-258-2624
Provider Enumeration Date : 08/04/2006
Last Update Date : 11/03/2011

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Directions to “TALOSIG & TALOSIG M D P A ” Practice Location

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